NPI | 1689783961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NJ 25MA07815700) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ MA78157) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA07815700) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2025-02-11 |